Factors associated with mental health outcomes among caregivers of older adults in long-term care facilities during COVID-19 post-epidemic era in Shandong, China
BackgroundCOVID-19 pandemic has altered the work mode in long-term care facilities (LTCFs), but little is known about the mental health status of caregivers of older adults.MethodsA total of 672 formal caregivers of older adults in LTCFs and 1,140 formal patient caregivers in hospitals (comparison g...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-10-01
|
| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1011775/full |
| _version_ | 1797995982963605504 |
|---|---|
| author | Huiling Chen Yingjuan Cao Yingjuan Cao Yingjuan Cao Yanxia Lu Xiaolei Zheng Bin Kong Hua Dong Qingbo Zhou Qingbo Zhou |
| author_facet | Huiling Chen Yingjuan Cao Yingjuan Cao Yingjuan Cao Yanxia Lu Xiaolei Zheng Bin Kong Hua Dong Qingbo Zhou Qingbo Zhou |
| author_sort | Huiling Chen |
| collection | DOAJ |
| description | BackgroundCOVID-19 pandemic has altered the work mode in long-term care facilities (LTCFs), but little is known about the mental health status of caregivers of older adults.MethodsA total of 672 formal caregivers of older adults in LTCFs and 1,140 formal patient caregivers in hospitals (comparison group) responded to an online survey conducted from March 25, 2022 to April 6, 2022. Five psychological scales, including Insomnia Severity Index (ISI), Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), The 5-item World Health Organization Wellbeing Index (WHO-5) and Perceived Stress Scale-14 item (PSS-14), were applied to assess participants’ mental health status. Factors, including sex, profession, marital status, economic conditions, length of working experience, frequent night shift beyond 1 day per week and having organic diseases, were included in logistic regression analysis to identify associated factors with mental health outcomes of formal caregivers of older adults in LTCFs.ResultsCaregivers of older adults in LTCFs developed similar severe psychological symptoms with patient caregivers in hospital setting. For caregivers of older adults in LTCFs, unmarried status was a potent risk factor for insomnia, anxiety, impaired wellbeing and health risk stress, with odds ratios ranging from 1.91 to 3.64. Frequent night shift beyond 1 day per week was associated with higher risks of insomnia, depression and impaired wellbeing. Likewise, having organic disease or inferior economic condition, and being nurses appeared to be independent predictors for multiple mental health-related outcomes.ConclusionDuring COVID-19 post-epidemic era, caregivers of older adults in LTCFs had a higher prevalence of psychological symptoms, especially those with particular risk factors. Special attention should be paid to promote their mental health. |
| first_indexed | 2024-04-11T10:10:17Z |
| format | Article |
| id | doaj.art-1d6c2321c645446d8cdc1de568c7c1b4 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-11T10:10:17Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-1d6c2321c645446d8cdc1de568c7c1b42022-12-22T04:30:07ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-10-011310.3389/fpsyt.2022.10117751011775Factors associated with mental health outcomes among caregivers of older adults in long-term care facilities during COVID-19 post-epidemic era in Shandong, ChinaHuiling Chen0Yingjuan Cao1Yingjuan Cao2Yingjuan Cao3Yanxia Lu4Xiaolei Zheng5Bin Kong6Hua Dong7Qingbo Zhou8Qingbo Zhou9Department of Geriatrics, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, ChinaDepartment of Nursing, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, ChinaSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, ChinaNursing Theory and Practice Innovation Research Center, Cheeloo College of Medicine, Shandong University, Jinan, ChinaDepartment of Medical Psychology and Ethics, School of Basic Medical Sciences, Cheeloo College of Medicine, Shandong University, Jinan, ChinaDepartment of Neurology, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, ChinaDepartment of Pension Service, Jinan Civil Affairs Bureau, Jinan, ChinaDepartment of Secretariat, Jinan Pension Service Development Promotion Association, Jinan, ChinaDepartment of Geriatrics, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, ChinaSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, ChinaBackgroundCOVID-19 pandemic has altered the work mode in long-term care facilities (LTCFs), but little is known about the mental health status of caregivers of older adults.MethodsA total of 672 formal caregivers of older adults in LTCFs and 1,140 formal patient caregivers in hospitals (comparison group) responded to an online survey conducted from March 25, 2022 to April 6, 2022. Five psychological scales, including Insomnia Severity Index (ISI), Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), The 5-item World Health Organization Wellbeing Index (WHO-5) and Perceived Stress Scale-14 item (PSS-14), were applied to assess participants’ mental health status. Factors, including sex, profession, marital status, economic conditions, length of working experience, frequent night shift beyond 1 day per week and having organic diseases, were included in logistic regression analysis to identify associated factors with mental health outcomes of formal caregivers of older adults in LTCFs.ResultsCaregivers of older adults in LTCFs developed similar severe psychological symptoms with patient caregivers in hospital setting. For caregivers of older adults in LTCFs, unmarried status was a potent risk factor for insomnia, anxiety, impaired wellbeing and health risk stress, with odds ratios ranging from 1.91 to 3.64. Frequent night shift beyond 1 day per week was associated with higher risks of insomnia, depression and impaired wellbeing. Likewise, having organic disease or inferior economic condition, and being nurses appeared to be independent predictors for multiple mental health-related outcomes.ConclusionDuring COVID-19 post-epidemic era, caregivers of older adults in LTCFs had a higher prevalence of psychological symptoms, especially those with particular risk factors. Special attention should be paid to promote their mental health.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1011775/fullCOVID-19long-term care facilitynursing homemental healthcaregivers of older adults |
| spellingShingle | Huiling Chen Yingjuan Cao Yingjuan Cao Yingjuan Cao Yanxia Lu Xiaolei Zheng Bin Kong Hua Dong Qingbo Zhou Qingbo Zhou Factors associated with mental health outcomes among caregivers of older adults in long-term care facilities during COVID-19 post-epidemic era in Shandong, China Frontiers in Psychiatry COVID-19 long-term care facility nursing home mental health caregivers of older adults |
| title | Factors associated with mental health outcomes among caregivers of older adults in long-term care facilities during COVID-19 post-epidemic era in Shandong, China |
| title_full | Factors associated with mental health outcomes among caregivers of older adults in long-term care facilities during COVID-19 post-epidemic era in Shandong, China |
| title_fullStr | Factors associated with mental health outcomes among caregivers of older adults in long-term care facilities during COVID-19 post-epidemic era in Shandong, China |
| title_full_unstemmed | Factors associated with mental health outcomes among caregivers of older adults in long-term care facilities during COVID-19 post-epidemic era in Shandong, China |
| title_short | Factors associated with mental health outcomes among caregivers of older adults in long-term care facilities during COVID-19 post-epidemic era in Shandong, China |
| title_sort | factors associated with mental health outcomes among caregivers of older adults in long term care facilities during covid 19 post epidemic era in shandong china |
| topic | COVID-19 long-term care facility nursing home mental health caregivers of older adults |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1011775/full |
| work_keys_str_mv | AT huilingchen factorsassociatedwithmentalhealthoutcomesamongcaregiversofolderadultsinlongtermcarefacilitiesduringcovid19postepidemicerainshandongchina AT yingjuancao factorsassociatedwithmentalhealthoutcomesamongcaregiversofolderadultsinlongtermcarefacilitiesduringcovid19postepidemicerainshandongchina AT yingjuancao factorsassociatedwithmentalhealthoutcomesamongcaregiversofolderadultsinlongtermcarefacilitiesduringcovid19postepidemicerainshandongchina AT yingjuancao factorsassociatedwithmentalhealthoutcomesamongcaregiversofolderadultsinlongtermcarefacilitiesduringcovid19postepidemicerainshandongchina AT yanxialu factorsassociatedwithmentalhealthoutcomesamongcaregiversofolderadultsinlongtermcarefacilitiesduringcovid19postepidemicerainshandongchina AT xiaoleizheng factorsassociatedwithmentalhealthoutcomesamongcaregiversofolderadultsinlongtermcarefacilitiesduringcovid19postepidemicerainshandongchina AT binkong factorsassociatedwithmentalhealthoutcomesamongcaregiversofolderadultsinlongtermcarefacilitiesduringcovid19postepidemicerainshandongchina AT huadong factorsassociatedwithmentalhealthoutcomesamongcaregiversofolderadultsinlongtermcarefacilitiesduringcovid19postepidemicerainshandongchina AT qingbozhou factorsassociatedwithmentalhealthoutcomesamongcaregiversofolderadultsinlongtermcarefacilitiesduringcovid19postepidemicerainshandongchina AT qingbozhou factorsassociatedwithmentalhealthoutcomesamongcaregiversofolderadultsinlongtermcarefacilitiesduringcovid19postepidemicerainshandongchina |